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Healthy Skepticism Library item: 6726

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Editorial .
Putting a stop to medical inducements
Age Newspaper ( Melbourne) 2006 Dec 5
http://www.theage.com.au/news/editorial/putting-a-stop-to-medical-inducements/2006/12/04/1165080876685.html


Full text:

Putting a stop to medical inducements

December 5, 2006

LAST week the drug company CSL Limited agreed to reduce by 25 per cent
the price of Gardasil, the cervical cancer vaccine to be used in the
Federal Government’s vaccination program for young girls. While this may
seem a major victory for the Government, CSL’s decision should be
assessed in light of evidence that one-third of the budget for producing
a drug is spent on marketing. Given the amount devoted to entertaining
doctors, including funding all-expenses-paid conferences in exotic
locations, it is little wonder that pharmaceutical industry body
Medicines Australia was in the Federal Court last week fighting the
Australian Competition and Consumer Commission’s order for greater
transparency about these gifts.

Now a Melbourne cancer specialist has alleged that drug company
relationships are compromising medical specialists’ professional
independence. In an affidavit lodged with the court, Dr Ian Haines
detailed offers that included travel to places as varied as New Orleans,
Amsterdam and Valencia. He no longer accepts such offers, describing
them as predominantly marketing exercises.

Dr Haines is to be applauded for having the courage to speak out. His
comments accord with the findings of an Age investigation in August into
the manner in which pharmaceutical companies have attempted to influence
doctors. This latest testimony should increase pressure on the industry
to revise its practices.

In a welcome move, the Australian Medical Association ethics committee
has warned doctors against the public endorsement of drugs. It should
also discourage its members from accepting gifts designed to influence
decisions about prescribing drugs. There is undoubtedly a need for
doctors to be informed about new drugs but there can be no justification
for trying to persuade them by offering what could be considered bribes.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909